2026-05-28a PRAMS 2026.pdf

YOUR INFORMATION IS CONFIDENTIAL

If you want to know more about the PRAMS Project or want to do the survey over the phone call toll free: 844-997-7267 or email: PRAMSMI@Michigan.gov www.Michigan.gov/PRAMS

Complete and return for a

Your story. Your baby’s story.

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Form Approved I 0MB No. 0920-1273 | Expires: 5/31/2029 Public Reporting of this collection of information is estimated to average 25-31 minutes per response, including the time for reviewing instructions and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a current valid OMB number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS H21-8, Atlanta, GA, 30329 ATTN: PRA (0920-1273).

The information you are being asked to provide is authorized to be collected under Section 301 of The Public Health Service Act (42 USC 241). Providing this information is voluntary. CDC will use this information as part of the Pregnancy Risk Assessment Monitoring System (PRAMS). PRAMS data is used to inform efforts to improve health among mothers and infants. The information you give us will be kept private and will be protected under the Privacy Act (System of Records Notice 09-20-0136).

Please check the box next to your answer or follow the directions included with the question. You may be asked to skip some questions that do not apply to you.

BEFORE PREGNANCY

The first questions are about you.

1. What is your date of birth?

Month Day Year

2. How tall are you without shoes?

centimetersOR

Write ONE answer inchesfeet &

3. Just before you got pregnant with your new baby, how much did you weigh?

pounds OR kilos

Write ONE answer

you deaf?

b. Have serious difficulty seeing, even when wearing glasses, or are you blind?...

c. Have serious difficulty walking or climbing stairs?

d. Have serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition?

e. Have difficulty with dressing or bathing yourself?

f. Have difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition?

4. Before you got pregnant, did you...?

For each one, check No or Yes.

The next questions are about the time before you got pregnant.

gestational diabetes or diabetes that starts during pregnancy)

5. During the 3 months before you got pregnant with your new baby, did you have any of the following health conditions?

For each one, check No if you did not have the condition or Yes if you did.

condition

d. Visit to urgent care or the emergency room

e. Visit for family planning or to get birth control

Please tell us:

6. In the 12 months before you got pregnant with your new baby, did you have any of the following healthcare visits?

For each one, check No or Yes.

If you did not have any healthcare visits in the 12 months before you got pregnant, go to Question 8.

No Yes Talk to me about...

pregnancy

f. Sexually transmitted infections such as chlamydia, gonorrhea, syphilis, or HIV Ask me...

g. If I smoked cigarettes or used e-cigarettes (“vapes”) or other smokeless tobacco

h. If someone was hurting me emotionally or physically

i. If I felt depressed or anxious

7. During any of your healthcare visits in the 12 months before you got pregnant, did a healthcare provider do any of the following things? For each one, check No or Yes.

The next questions are about your health insurance.

� Private health insurance (paid for by me, someone else, or through a job)

program � Other health insurance Please tell us:

� I didn’t have any health insurance during the month before I got pregnant

8. During the month before you got pregnant with your new baby, what kind of health insurance did you have?

Check ALL that apply

� Private health insurance (paid for by me, someone else, or through a job)

� Other health insurance Please tell us:

� I didn’t have any health insurance during my pregnancy

9. During your most recent pregnancy, what kind of health insurance did you have?

� Private health insurance (paid for by me, someone else, or through a job)

� Other health insurance Please tell us:

� I don’t have any health insurance now

10. What kind of health insurance do you have now?

Check ALL that apply

time in the future � I wasn’t sure what I wanted

11. Thinking back to just before you got pregnant with your new baby, how did you feel about becoming pregnant?

Check ONE answer

12. When you got pregnant with your new baby, were you trying to get pregnant?

Go to Page 4, Question 16

13. When you got pregnant with your new baby, were you or your spouse or partner doing anything to keep from getting pregnant? This can include having your tubes tied, using birth control pills, condoms, natural family planning, or other methods.

Go to Page 4, Question 15

method I was using

(couldn’t get pregnant at all) � My spouse or partner didn’t want to use condoms � My spouse or partner didn’t want me to use birth control

14. What were your reasons for not doing anything to keep from getting pregnant?

Check ALL that apply

If you were not doing anything to keep from getting pregnant, go to Page 4, Question 16.

methods (such as rhythm or calendar method or fertility apps)

� Breastfeeding for birth control (Lactational Amenorrhea Method or LAM)

� Other Please tell us:

15. What kind of birth control were you using when you got pregnant?

Check ALL that apply

DURING PREGNANCY

The next questions are about your prenatal care. This can include visits to a doctor, nurse, or other healthcare worker before your baby was born to get checkups and advice about pregnancy. (It may help to look at the calendar to answer these questions.)

� I don’t remember

16. How many weeks or months pregnant were you when you were sure you were pregnant?

For example, you had a pregnancy test, or a healthcare provider said you were pregnant.

week(s) OR month(s)

Write ONE answer

17. Did you get prenatal care during your most recent pregnancy?

Go to Question 20

Go to Question 18

18. How many weeks or months pregnant were you when you had your first visit for prenatal care?

week(s) OR month(s)

Write ONE answer

No Yes Talk to me about...

a. How much weight I should gain during pregnancy

b. Doing tests to screen for birth defects or diseases that run in my family

c. The signs and symptoms of preterm labor (labor more than 3 weeks before the baby is due)

d. What to do if I feel depressed or anxious during my pregnancy or after my baby is born

Ask me...

baby was born

g. If I was taking any prescription medication

h. If I smoked cigarettes or used e-cigarettes (“vapes”) or other smokeless tobacco

or physically

19. During any of your prenatal care visits, did a healthcare provider do any of the following things? For each one, check No or Yes.

diphtheria, and pertussis [whooping cough])

to protect the baby from respiratory syncytial virus)

20. During the 12 months before your new baby was born, did a healthcare provider offer you the following shots or vaccinations?

For each one, check No or Yes.

B D N

21. Did you get the following shots or vaccinations before or during your pregnancy? For each shot, check ALL that apply:

B for 3 months before pregnancy D for During pregnancy or check N if you Did not get the shot in the 3 months before or during pregnancy

22. During your most recent pregnancy, did you have your teeth cleaned by a dentist or dental hygienist?

prenatal care that I received

b. Comfortable declining care if I didn’t want it

c. Comfortable accepting the options for care that my provider recommended

d. I was able to choose the care options that I received

I received

23. Overall, during my pregnancy, I felt...

For each one, check No or Yes.

24. During your most recent pregnancy, were you on WIC (the Special Supplemental Nutrition Program for Women, Infants, and Children)?

Go to Question 26

25. When you went for WIC visits during your most recent pregnancy, did you receive information on breastfeeding?

started during this pregnancy)

b. High blood pressure (that started during this pregnancy), pre-eclampsia, or eclampsia

26. During your most recent pregnancy, did a healthcare provider tell you that you had any of the following health conditions?

For each one, check No or Yes.

If you had high blood pressure before or during your pregnancy, go to Question 27. If you didn’t, go to Page 6, Question 28.

provider

b. Tell me to regularly check my blood pressure during pregnancy

c. Talk to me about getting to a healthy weight after pregnancy

d. Talk to me about regularly checking my blood pressure after pregnancy

e. Talk to me about the risk for having high blood pressure (chronic hypertension) and heart disease after pregnancy

27. During your most recent pregnancy, did a healthcare provider do any of the following things to help you manage your high blood pressure? For each one, check No or Yes.

28. During your most recent pregnancy, did you get information about “warning signs” you should watch for during and after your pregnancy that require immediate medical attention? Some of these “warning signs” include fever, frequent or severe headaches, dizziness, or severe stomach pain.

Go to Question 30

nurse, or midwife)

b. Websites or social media (such as

Facebook, Instagram, or X/Twitter)

c. Any source of information that used the slogan “Hear Her” (such as websites, social media, or paper handouts)

d. Family or friends

29. During your most recent pregnancy, did you get information about warning signs from any of the following sources?

For each one, check No or Yes.

The next questions are about cigarettes, e-cigarettes, and other tobacco products.

30. Have you smoked any cigarettes in the past 2 years?

Go to Question 34

31. In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day?

32. In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day?

33. How many cigarettes do you smoke on an average day now?

34. In the past 2 years, have you used e-cigarettes (“vapes”) or other electronic nicotine products?

Go to Question 38

nicotine products then

35. During the 3 months before you got pregnant, on average, how often did you use e-cigarettes (“vapes”) or other electronic nicotine products?

nicotine products then

36. During the last 3 months of your pregnancy, on average, how often did you use e-cigarettes (“vapes“) or other electronic nicotine products?

37. In the past 2 years, did you ever use e-cigarettes (“vapes”) or other electronic nicotine products as a way of cutting down or stopping cigarette smoking?

The next questions are about drinking alcohol. A drink can be 1 glass of wine, can or bottle of beer or hard seltzer, shot of liquor, or mixed drink.

trimester)? This includes the time before knowing you were pregnant

b. The second 3 months of pregnancy (2nd trimester)?

c. The last 3 months of pregnancy (3rd trimester)?

38. During your most recent pregnancy, did you have any alcoholic drinks during...?

For each one, check No or Yes.

If you did not have any alcoholic drinks during your pregnancy, go to Question 40.

trimester)? This includes the time before knowing you were pregnant

b. The second 3 months of pregnancy (2nd trimester)?

c. The last 3 months of pregnancy (3rd trimester)?

39. During your most recent pregnancy, did you have 4 or more alcoholic drinks in a 2-hour time span during…?

For each one, check No or Yes.

Pregnancy can be a difficult time. The next questions are about things that may have happened before and during your most recent pregnancy.

in a car, or in a shelter

work hours or pay

g. I had problems paying the rent, mortgage, or other bills

with drinking or drugs

k. Someone close to me was very sick or died

40. Did any of the following things happen during the 12 months before your new baby was born? For each one, check No or Yes.

41. In the 12 months before you got pregnant with your new baby, did any of the following people push, hit, slap, kick, choke, or physically hurt you in any other way?

For each one, check No or Yes.

42. During your most recent pregnancy, did any of the following people push, hit, slap, kick, choke, or physically hurt you in any other way? For each one, check No or Yes.

AFTER PREGNANCY

The next questions are about the time since your new baby was born.

labor and delivery care that I received

b. Comfortable declining care if I didn’t want it

c. Comfortable accepting the options for care that my provider recommended

d. I was able to choose the care options that I received

that I received

43. Overall, during the delivery of my baby, I felt...

For each one, check No or Yes.

the hospital

44. After the delivery, how long did your new baby stay in the hospital?

Go to Question 47

Go to Question 45

45. Is your baby alive now?

We are very sorry for your loss.

Go to Page 11, Question 58

46. Is your baby living with you now?

Go to Page 11, Question 58

� Someone answered my questions about breastfeeding

to my baby � I discussed feeding only breast milk to my baby with my family/friends � I discussed feeding only breast milk to my baby with my healthcare provider � I decided not to breastfeed my baby

47. Before your new baby was born, did any of the following things happen?

provider

number

h. Websites or apps about pregnancy or infant care

i. Social media (such as Facebook, Instagram, TikTok)

Please tell us:

48. Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources?

For each one, check No or Yes.

� I didn’t breastfeed my baby

� I’m still breastfeeding or feeding pumped milk to my new baby

49. How many weeks or months did you breastfeed or feed pumped milk to your new baby?

week(s) OR month(s)

Check ONE answer

Go to Page 10, Question 51

Go to Page 10, Question 51

weight � My nipples were sore, cracked, or bleeding, or it was too painful � I thought I wasn’t producing enough milk, or my milk dried up

breastfeeding � My baby was jaundiced (yellowing of the skin or whites of the eyes) � Other Please tell us:

50. What were your reasons for stopping breastfeeding?

If your baby was not born in a hospital, go to Question 52.

breastfeed (how often and long to breastfeed)

b. My baby stayed in the same room with me at the hospital

c. Hospital staff helped me learn how to breastfeed

d. I breastfed as soon as possible after my baby was born

e. My baby was placed in skin-to-skin contact as soon as possible after birth

f. My baby was fed only breast milk at the hospital

g. Hospital staff helped me recognize when my baby was hungry

h. The hospital gave me a gift pack with formula

i. The hospital gave me information about who I could contact for breastfeeding support when I left the hospital

51. During your hospital stay after your new baby was born, did any of the following things happen? For each one, check No or Yes.

If your baby is still in the hospital, go to Question 58.

52. In the past 2 weeks, how did you place your new baby to sleep at night and during naps?

For each one, check No or Yes.

53. In the past 2 weeks, when you were sleeping, how often has your new baby slept alone in their own crib or bed?

Go to Question 55

54. Who does your new baby usually sleep with when they are not sleeping alone?

Check ALL that apply

If your baby never sleeps alone in their own crib or bed, go to Question 56.

55. In the past 2 weeks, was your baby’s crib or bed in the same room where you or another adult slept?

sleeper

Please tell us:

56. In the past 2 weeks, where have you placed your new baby to sleep at night or during naps? For each one, check No or Yes.

sheets

d. Soft toys, cushions, or pillows, including nursing pillows

Please tell us:

57. In the past 2 weeks, has your new baby been placed to sleep with the following?

For each one, check No or Yes.

58. Are you or your spouse or partner doing anything now to keep from getting pregnant? This can include having your tubes tied, using birth control pills, condoms, natural family planning, or other methods.

Go to Question 60

Go to Page 12, Question 61

Go to Question 59

control � My spouse or partner doesn’t want to use condoms � My spouse or partner doesn’t want me to use birth control

breastfeeding

59. What are your reasons for not doing anything to keep from getting pregnant now?

Check ALL that apply

If you’re not doing anything to keep from getting pregnant now, go to Page 12, Question 61.

methods (such as rhythm or calendar method or fertility apps)

� Breastfeeding for birth control (Lactational Amenorrhea Method or LAM)

� Other Please tell us:

60. What kind of birth control are you or your spouse or partner using now to keep from getting pregnant?

61. Since your new baby was born, have you had a postpartum checkup for yourself? A postpartum checkup is a regular health checkup you have up to 12 weeks after giving birth.

Go to Question 63

pay for the visit � I felt fine and didn’t think I needed to have a visit � I couldn’t get an appointment when I wanted one � I didn’t have any transportation to get to the clinic or doctor’s office

62. Did any of these things keep you from having a postpartum checkup?

Check ALL that apply

If you did not have a postpartum checkup, go to Question 64.

No Yes Talk to me about...

a. Healthy eating, exercise, and losing weight gained during pregnancy

b. How long to wait before getting pregnant again

I might be at risk for due to my pregnancy

anxious Ask me...

g. If I was smoking cigarettes or using e-cigarettes (“vapes”) or other smokeless tobacco

h. If someone was hurting me emotionally or physically

A healthcare provider...

depression or anxiety

63. During your postpartum checkup, did a healthcare provider do any of the following things? For each one, check No or Yes.

64. Since your new baby was born, how often have you felt down, depressed, or hopeless?

65. Since your new baby was born, how often have you had little interest or little pleasure in doing things?

66. Since your new baby was born, how often have you felt nervous, anxious, or on edge?

67. Since your new baby was born, how often have you not been able to stop or control worrying?

68. Has a healthcare provider asked you a series of questions, in person or on a form, to know if you were feeling down, depressed, anxious, or irritable during the following time periods? For each one, check No or Yes.

postpartum care that I received

b. Comfortable declining care if I didn’t want it

c. Comfortable accepting the options for care that my provider recommended

d. I was able to choose the care options that I received

received

69. Overall, since my new baby was born, I have felt...

For each one, check No or Yes.

OTHER EXPERIENCES

The next questions are on a variety of topics.

a. I worried whether my food would run out before I got money to buy more

Often Sometimes Never

b. The food that I bought just didn’t last, and I didn’t have money to get more

Often Sometimes Never

70. Please tell us how often each of the following happened during the 12 months before your new baby was born.

meetings, or work

c. Doing errands

71. During the 12 months before your new baby was born, did lack of transportation keep you from any of the following?

For each one, check No or Yes.

or other drugs)

m. My involvement with the justice system

(jail or prison)

n. Another reason

Please tell us:

72. While getting healthcare during your pregnancy, at delivery, or at postpartum care, did you experience discrimination or were you prevented from doing something, hassled, or made to feel inferior?

For each one, check No if you did not experience discrimination because of it or Yes if you did.

73. During your life until now, how often have you been discriminated against, prevented from doing something, hassled, or made to feel inferior because of your race, ethnicity, or skin color?

74. Have you ever been treated unfairly due to your race, ethnicity, or skin color in any of the following situations?

For each one, check No or Yes.

The next questions are about the time during the 12 months before your new baby was born.

75. During the 12 months before your new baby was born, what was your yearly total household income before taxes? Include your income, your spouse or partner’s income, and any other income you may have received. All information will be kept private and will not affect any services you are getting now.

Number of people

76. During the 12 months before your new baby was born, how many people, including yourself, depended on this income?

for financial support if I need it

b. My partner is someone I can talk with about things that are important to me

c. My partner is someone who is affectionate toward me

d. My partner is someone who helps me care for my child(ren)

e. My partner is someone who understands how I am feeling

f. My partner is someone who talks with me and spends time with me

g. My partner is someone whom I can count on

h. My partner is someone who does things with me

79. The following statements are about your husband or partner, who may or may not be the father of your baby, and the support they provide you at this time. For each one, check No if it is not true most of the time or Yes if it is true most of the time.

If you had a flu shot in the 12 months before the birth of your new baby go to Question 81.

about a flu shot

b. I was worried about side effects of the flu shot for me

c. I was worried that the flu shot might harm my baby

d. I was not worried about getting sick with the flu

Please tell us:

80. What were your reasons for not getting a flu shot during the 12 months before the birth of your new baby? For each item, check No if it was not a reason for you or Yes if it was.

These final questions are about a variety of topics from around the time of pregnancy.

crowded

d. I could keep basic utility services on

(heat, water, lights)

e. I had access to a telephone when needed

f. I had other basic needs that were not met Please tell us:

77. During your most recent pregnancy, which of the following statements about basic needs applied to you? For each item, check No if it was not true or Yes if it was.

� My husband or partner lives with me all of the time

� My husband or partner lives with me some of the time

or partner

78. This question is about your husband or partner, who may or may not be the father of your new baby. Please choose the statement that best describes the current living arrangement.

Go to Question 79

Go to Question 80

If you had a RSV shot during your most recent pregnancy go to Page 17, Question 83.

about a RSV shot

b. I was worried about side effects of the

RSV shot for me

c. I was worried that the RSV shot might harm my baby

d. I was not worried about getting sick with RSV

I was not in the right stage of pregnancy (third trimester) during RSV season (September - January)

g. I planned to have my baby get the RSV shot after birth

Please tell us:

82. What were your reasons for not getting a RSV shot during your most recent pregnancy baby? For each item, check No if it was not a reason for you or Yes if it was.

If you had a COVID-19 shot in the 12 months before the birth of your new baby go to Question 82.

about a COVID-19 shot

b. I was worried about side effects of the

COVID-19 shot for me

c. I was worried that the COVID-19 shot might harm my baby

d. I was not worried about getting sick with COVID-19

Please tell us:

81. What were your reasons for not getting a COVID-19 shot during the 12 months before the birth of your new baby? For each item, check No if it was not a reason for you or Yes if it was.

No Yes

a. During the 12 months before I got pregnant

87. During any of the following time periods, did you use prescription pain relievers, such as hydrocodone (Vicodin), oxycodone (Percocet), or codeine? For each time period, check No if you did not use then or Yes if you did.

88. This question is about the care of your teeth during your most recent pregnancy. For each item, check No if it is not true or does not apply to you or Yes if it is true.

teeth and gums during my pregnancy

b. A dental or other health care worker talked with me about how to care for my teeth and gums

c. I had insurance to cover dental care during my pregnancy

a problem

that would take pregnant patients

b. I could not find a dentist or dental clinic that would take Medicaid patients

c. I did not think it was safe to go to the dentist during pregnancy

d. I could not afford to go to the dentist or dental clinic

89. Did any of the following things make it hard for you to go to a dentist or dental clinic during your most recent pregnancy? For each item, check No if it was not something that made it hard for you to go or Yes if it was.

but I don’t remember when � I don’t know

Go to Question 85

Go to Question 86

83. During your last or third trimester of your most recent pregnancy, did you have a test for syphilis?

syphilis during my most recent pregnancy � I don’t know if it was the first time I was tested

84. When you got tested for syphilis during your last or third trimester, was it the first time you had been tested for syphilis during your most recent pregnancy?

Go to Question 86

85. Why didn’t you have a test for syphilis during the last or third trimester of your most recent pregnancy or delivery?

not think I needed to be tested again � I was tested before this pregnancy, and did not think I needed to be tested again � Other reason Please tell us:

pregnant

86. During any of the following time periods, did you use marijuana or hash in any form?

For each time period, check No if you did not use then or Yes if you did.

If your baby is not alive or not living with you, go to Page 19, Question 98.

� My baby will be vaccinated the way my baby’s doctor recommends

� My baby will get every vaccine, but at different times than my baby’s doctor recommends

� My baby will get only some of the recommended vaccines

� My baby will not get any vaccines

95. What are your plans for vaccinating your new baby?

Check ONE answer

The next few questions are about environmental contaminants. Your environment is all of the things around you in your daily life, at home or at work.

Environmental contaminants are chemicals or pollutants in the environment that do not belong there or are found at levels that may cause harmful health effects.

96. How concerned are you about risks to your baby’s health from environmental contamination?

Go to Question 98

� Chemicals in the air you breathe, either inside or outside

industrial sites or dumps � Other Please tell us:

� I don’t know or I am unsure

97. What is the top environmental contamination issue you are concerned may impact your baby’s health?

Check ONE answer

90. At any time during your most recent pregnancy, did you work at a job for pay?

Go to Question 95

Go to Question 95

91. Have you returned to the job you had during your most recent pregnancy?

Check ONE answer

92. Did you take leave from work after your new baby was born?

93. How did you feel about the amount of time you were able to take off after the birth of your new baby?

No Yes

a. I could not financially afford to take leave

b. I was afraid I’d lose my job if I took leave or stayed on leave longer

c. I had too much work to do to take leave or stay out longer

schedule

f. I had not built up enough leave time to take any or more time off

94. Did any of the following things affect your decision about taking leave from work after your new baby was born? For each one, check No or Yes.

101. During the 12 months before the delivery of your new baby, did you get your household tap water from a private well?

Go to Page 20, Question 104

known as PFAS (pronounced pee-fas)

102. During the 12 months before the delivery of your new baby, did a doctor, nurse, or other health care worker talk to you about getting your household well water tested for any of the following things? For each one, check No if they did not talk to you about it or Yes if it they did.

known as PFAS (pronounced pee-fas)

103. During the 12 months before the delivery of your new baby, did you have your household well water tested for any of the following things? For each one, check No if if your water was not tested or Yes if it was.

98. Which of the following do you think is the most common cause of lead poisoning in children?

Check ONE answer

99. During any of your prenatal care visits, did a doctor, nurse, or other health care worker talk with you about how eating fish containing high levels of mercury could affect your baby?

and Prevention (CDC) or Environmental Protection Agency (EPA)

� Private business, like a water supply company or water testing lab

� I don’t know or I am unsure

100. If you were told that you have high levels of lead in the drinking water at your home, where would you go to first for information about what you could do to protect the people in your household?

pregnant again

c. Family planning services or using contraception

parents

f. Getting to and staying at a healthy weight after delivery

or I need

107. Since your new baby was born, did the home visitor who came to your home talk with you about any of the things listed below? For each one, check No if they did not talk with you about it or Yes if they did.

108. Did you use doula support during any of the following time periods? A doula is a trained pregnancy and labor companion who gives comfort, emotional support, and information during birth. A doula does not provide medical care.

109. What is today’s date?

Month Day Year

104. During your most recent pregnancy, did a home visitor come to your home to support you in having a healthy pregnancy and preparing for your new baby? A home visitor is a nurse, a health care provider, a doula, a childbirth educator, social worker, or other person who works for a program that helps you during your pregnancy.

Go to Question 106

affect my baby

b. How drinking alcohol during pregnancy could affect my baby

c. Doing tests to screen for birth defects or diseases that run in my family

d. The importance of getting tested for HIV or other sexually transmitted infections...

e. Physical or emotional abuse to women by their husbands or partners

105. During your most recent pregnancy, did the home visitor who came to your home talk with you about any of the things listed below? For each one, check No if they did not talk with you about it or Yes if they did.

If your baby is not alive or not living with you, go to Question 108.

106. Since your new baby was born, did a home visitor come to your home to support you in taking care of yourself or your new baby? A home visitor is a nurse, a health care provider, a doula, a social worker, or other person who works for a program that helps families with newborns.

Go to Question 108

Go to Question 107

We would love to hear more about your story!

Is there anything else you would like to share with us about your experiences around the time of your pregnancy? Please use this space to tell us.

Thanks for answering our questions!

Your answers will help us work to make mothers and babies in Michigan healthier.

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